Composite
79.3 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 75.6 | 50.4 | 0.30 | 0.2308 | 17.45 | in index |
| staffing risk | 65.0 | 65.0 | 0.25 | 0.1923 | 12.50 | in index |
| financial risk | 52.3 | 46.9 | 0.30 | 0.2308 | 12.07 | in index |
| regulatory risk | 49.6 | 38.7 | 0.30 | 0.2308 | 11.45 | in index |
| chow risk | 57.9 | 35.4 | 0.15 | 0.1154 | 6.68 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 50.4 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 40.8 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 30.1 | B | v0.6 | default · in composite | |
| financial risk | 46.9 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.2 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 38.7 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 65.0 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 46.1 | C | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 26.1 | B | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 48.1 | C | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 51.3 | C | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 38.5 | B | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 38.5 | B | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 65.0 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 65.0 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 9.16 | -0.96 | |
| For-profit ownership | 1.00 | +0.69 | |
| Deficiencies, last 12 months | 25.00 | +0.44 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Occupancy | 0.63 | +0.19 | |
| Chain size (log) | 1.10 | -0.17 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 25.00 | -3.21 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 1.10 | +0.56 | |
| Occupancy | 0.63 | +0.49 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Current owner tenure (years) | 9.16 | -0.15 |
| 2025Q4 HPRD | This facility | OH median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.06 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.40 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 2.99 | 3.11 | 3.11 | — |
| Weekday total | 3.09 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 62.6 | 3.06 | 0.40 | 0.78 | 1.89 | 2.99 | 0.0% |
| 2025Q3 | 92 | 66.3 | 3.06 | 0.31 | 0.78 | 1.97 | 2.95 | 0.0% |
| 2025Q2 | 91 | 67.7 | 3.09 | 0.25 | 0.83 | 2.01 | 2.92 | 0.0% |
| 2025Q1 | 90 | 69.7 | 3.17 | 0.26 | 0.78 | 2.13 | 3.08 | 0.0% |
| 2024Q4 | 92 | 74.5 | 2.99 | 0.32 | 0.76 | 1.91 | 2.79 | 0.0% |
| 2024Q3 | 92 | 80.7 | 2.80 | 0.23 | 0.70 | 1.86 | 2.62 | 0.0% |
| 2024Q2 | 91 | 76.0 | 2.93 | 0.19 | 0.75 | 1.99 | 2.85 | 0.0% |
| 2024Q1 | 91 | 77.2 | 2.81 | 0.18 | 0.73 | 1.90 | 2.73 | 0.0% |
| 2023Q4 | 92 | 78.3 | 2.75 | 0.19 | 0.69 | 1.86 | 2.73 | 0.0% |
| 2023Q3 | 92 | 74.5 | 2.83 | 0.23 | 0.63 | 1.97 | 2.80 | 0.0% |
| 2023Q2 | 91 | 75.0 | 2.94 | 0.20 | 0.77 | 1.97 | 2.92 | 0.9% |
| 2023Q1 | 90 | 75.0 | 2.60 | 0.12 | 0.82 | 1.66 | 2.54 | 1.2% |
| 2022Q4 | 92 | 76.3 | 2.42 | 0.14 | 0.76 | 1.52 | 2.37 | 0.0% |
| 2022Q3 | 92 | 78.8 | 2.46 | 0.11 | 0.76 | 1.59 | 2.46 | 0.0% |
| 2022Q2 | 91 | 76.7 | 2.57 | 0.11 | 0.81 | 1.65 | 2.56 | 0.0% |
| 2022Q1 | 90 | 75.0 | 2.56 | 0.12 | 0.83 | 1.62 | 2.61 | 0.0% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-18 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2026-03-17 |
| 2025-12-22 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-12-09 |
| 2025-11-20 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-12-12 |
| 2025-11-20 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | 2025-12-12 |
| 2025-11-20 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2025-12-12 |
| 2025-11-20 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-12-12 |
| 2025-11-20 | Health | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2025-12-12 |
| 2025-11-20 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | 2025-12-12 |
| 2025-11-20 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-12-12 |
| 2025-11-20 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-12-12 |
| 2025-11-20 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-12-12 |
| 2025-11-20 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2025-12-12 |
| 2025-11-20 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-12-12 |
| 2025-11-20 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-12-12 |
| 2025-11-20 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-12-12 |
| 2025-11-20 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2025-12-12 |
| 2025-11-20 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2025-12-12 |
| 2025-11-20 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | 2025-12-12 |
| 2025-11-20 | Health | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | 2025-12-12 |
| 2025-11-20 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-12-12 |
| 2025-11-20 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-12-12 |
| 2025-11-20 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2025-12-12 |
| 2025-11-20 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | 2025-12-12 |
| 2025-11-20 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-12-12 |
| 2025-11-20 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2025-12-12 |
| 2025-06-30 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-07-14 |
| 2024-01-19 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-02-08 |
| 2022-11-17 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-01-06 |
| 2022-11-17 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-01-06 |
| 2022-11-17 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2023-01-06 |
| 2020-01-16 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2020-02-18 |
| 2020-01-16 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2020-02-18 |
| 2020-01-16 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2020-02-18 |
| 2020-01-16 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2020-02-18 |
| 2020-01-16 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2020-02-18 |
| 2020-01-16 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2020-02-18 |
| 2020-01-16 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2020-02-18 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| STONE CROSSING SNF | Corporation, partnership or other organization has financial interest in provider | 65% | 2024-01-01 | current | hcris_a_8_1 |
| STONE CROSSING SNF & AL HOLDINGS | Corporation, partnership or other organization has financial interest in provider | 65% | 2023-01-01 | current | hcris_a_8_1 |
| STONE CROSSING SNF & ALF HOLDINGS L | Individual has financial interest in both related organization and provider | 65% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| STONE CROSSING SNF & ALF HOLDINGS L | Individual has financial interest in both related organization and provider | 65% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| STONE CROSSING SNF & ALF HOLDINGS L | Individual has financial interest in both related organization and provider | 65% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| FRANK GUNZBURG 2015 SUCCESSION TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 63% | 2017-06-01 | ended 2026-05-18 | pecos_ownership |
| SCCH INVESTMENTS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 35% | 2017-06-01 | ended 2026-05-18 | pecos_ownership |
| ELI GUNZBURG | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-06-01 | ended 2026-05-18 | pecos_ownership |
| TAMARA FYE | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-06-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2017-06-01 | — | STONE CROSSING SKILLED CARE LLC | LL CANTON LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-12-31 | SAPPHIRE REHABILITATION AND CARE CENTER | — | — | — | 113 | SAPPHIRE OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF POINT PLACE | — | — | — | 82 | POINT PLACE OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF NEW LEXINGTON | — | — | — | 82 | NEW LEXINGTON OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | Atrium Nursing and Rehabilitation | — | — | — | 99 | ATRIUM OPCO LLC |
| 2024-12-31 | Inniswood Health and Rehabilitation | — | — | — | 99 | FHS INNISWOOD, INC. |
| 2024-12-31 | COMMUNITY SKILLED HEALTHCARE | — | — | — | 110 | CS OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF PERRYSBURG | — | — | — | 75 | PERRYSBURG OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | GRAFTON OAKS NURSING CENTER | — | — | — | 99 | GO OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF KENT | — | — | — | 74 | KENT OH HEALTH & REHAB OPCO LLC |
| 2024-12-30 | Chardon Woods | — | — | — | 161 | CHARDON WOODS OF JOURNEY LLC |
| 2024-12-16 | The Pavilion at Canal Fulton for Nursing and Rehab | — | — | — | 60 | PAVILION AT CANAL FULTON LLC |
| 2024-12-02 | BENNINGTON GLEN NURSING & REHABILITATION CENTER | — | — | — | 79 | FHS BENNINGTON INC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39151 | acs median gross | 0 | $630 | 2024-12-31 | CENSUS_ACS5 |
| county 39151 | fmr | 0 | $749 | 2025-10-01 | HUD_USER_FMR |
| county 39151 | acs median gross | 1 | $703 | 2024-12-31 | CENSUS_ACS5 |
| county 39151 | fmr | 1 | $846 | 2025-10-01 | HUD_USER_FMR |
| county 39151 | acs median gross | 2 | $918 | 2024-12-31 | CENSUS_ACS5 |
| county 39151 | fmr | 2 | $1,086 | 2025-10-01 | HUD_USER_FMR |
| county 39151 | acs median gross | 3 | $1,059 | 2024-12-31 | CENSUS_ACS5 |
| county 39151 | fmr | 3 | $1,371 | 2025-10-01 | HUD_USER_FMR |
| county 39151 | acs median gross | 4 | $1,121 | 2024-12-31 | CENSUS_ACS5 |
| county 39151 | fmr | 4 | $1,451 | 2025-10-01 | HUD_USER_FMR |
| county 39151 | acs median gross | 5 | $1,085 | 2024-12-31 | CENSUS_ACS5 |
| county 39151 | acs median gross | $909 | 2024-12-31 | CENSUS_ACS5 | |
| county 39151 | acs recent mover gross | $985 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44709 | acs median gross | 0 | $844 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44709 | acs median gross | 1 | $734 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44709 | acs median gross | 2 | $900 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44709 | acs median gross | 3 | $1,114 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44709 | acs median gross | 4 | $900 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44709 | acs median gross | $858 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44709 | acs recent mover gross | $837 | 2024-12-31 | CENSUS_ACS5 | |
| zip 44709 | payment standard 110 | 0 | $781 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44709 | payment standard 90 | 0 | $639 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44709 | safmr | 0 | $710 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44709 | payment standard 110 | 1 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44709 | payment standard 90 | 1 | $720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44709 | safmr | 1 | $800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44709 | payment standard 110 | 2 | $1,133 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44709 | payment standard 90 | 2 | $927 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44709 | safmr | 2 | $1,030 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44709 | payment standard 110 | 3 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44709 | payment standard 90 | 3 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44709 | safmr | 3 | $1,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44709 | payment standard 110 | 4 | $1,518 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44709 | payment standard 90 | 4 | $1,242 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44709 | safmr | 4 | $1,380 | 2025-10-01 | HUD_USER_SAFMR |